Individual provider Active NPI

Gina Marie Hopkins, ATC, MS, LAT

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Eaton, OH
National Provider Identifier
1104567635
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
AT004076 Issued in OH
Practice address
261 Lakengren Dr
Eaton, OH 45320-2855
Phone
(630) 835-8140
NPI assigned
Apr 6, 2022
Last updated
Apr 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X AT004076 OH Primary

Addresses

Primary practice location

261 Lakengren Dr
Eaton, OH 45320-2855

Mailing address

261 Lakengren Dr
Eaton, OH 45320-2855

Other identifiers 1

IdentifierTypeStateIssuer
91589MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Gina.hopkins@ketteringhealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AT004076OHMDSports Medicine (Neuromusculoskeletal Medicine) Physician

Interoperability endpoints

  • Direct secure messaging: gina.hopkins@ketteringhealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1104567635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 LAKENGREN DR",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453202855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 LAKENGREN DR",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453202855",
            "telephone_number": "630-835-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "ATC, MS, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "OH",
            "license": "AT004076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91589",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gina.hopkins@ketteringhealth.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Work",
            "address_1": "261 Lakengren Dr # Dre",
            "city": "Eaton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453202855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eaton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.